The aim of this case report is to identify the accuracy outcome of cone-beam computed tomography (CBCT) based surgical guides for implant placement in partially edentulous patient with an anterior mandible bone defect due to a bullet received in war. The aim is to demonstrate guided implant placement and the application of fixed, implant-supported prosthetic restorations with a fully digital workflow.
Material and methods:
I used cone beam computed tomography FONA XPan 3D (CBCT). CBCT DICOM files exported can be merged with scan appliance DICOM files to create 3D renders that support virtual planning of prosthetic restorations and “crown down” surgical planning. We should use the scan appliance for this case to be planned from both a prosthetic and surgical perspective.
3D printed surgical template printed by (3D Atom printer), and milling by CAD/CAM machine (Roland DWX50) of a fiberglass framework (Bioloren Trilor Disc) veneered with visioline composite material (Bredent company).
The present procedure for fully digital planning of implants and implant-supported restorations has shown to be reliable.